Active NPI
Ep Medical Equipment Inc
- Pharmacy
- Miami, FL
National Provider Identifier
1801871892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- PH15954
- Legal business name
- EP MEDICAL EQUIPMENT INC
- Doing business as
- EP Medical Equipment Pharmacy
- Practice address
- 6440 SW 117TH Ave
Miami, FL 33183-2822 - Phone
- (305) 630-9307
- Fax
- (305) 630-3414
- NPI assigned
- Dec 13, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eleuterio Perez
- Title
- President
- Phone
- (305) 630-9307
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | PH15954 | FL | Primary |
Addresses
Primary practice location
6440 SW 117TH Ave
Miami, FL 33183-2822
Mailing address
6440 SW 117TH Ave
Miami, FL 33183-2822
Phone (305) 630-9307
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083295 | Other | NABP | |
| 106462200 | Medicaid | FL |
Other names 1
- EP Medical Equipment Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930053176 | FL | DME Supplier - Pharmacy | 3779603220 | Practice locations: Miami, FL |
| O20200206000628 | FL | Part B Supplier - Pharmacy | 3779603220 | Practice locations: Miami, FL |
| O20210614001719 | FL | Part B Supplier - Independent Clinical Laboratory | 3779603220 | Practice locations: Miami, FL |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Ep Medical Equipment Inc
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Miami, FL
- NPI 1225700487
-
- Parenteral & Enteral Nutrition Supplies (DME)
- Miami, FL
- NPI 1225701816
-
- Oxygen Equipment & Supplies (DME)
- Miami, FL
- NPI 1710558663
-
- Long Term Care Pharmacy
- Miami, FL
- NPI 1740579044
Locations
6640 SW 117TH Ave
FL 33183
6440 SW 117th Ave
#2
Miami, FL 33183
Phone (305) 630-9308
Networks
- HealthSun Health Plans Network
Ownership & related parties
Subparts reporting this organization as parent 3
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Parenteral & Enteral Nutrition Supplies (DME)
- Miami, FL
- NPI 1225701816
-
- Oxygen Equipment & Supplies (DME)
- Miami, FL
- NPI 1710558663
-
- Long Term Care Pharmacy
- Miami, FL
- NPI 1740579044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629763200000",
"number": "1801871892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6440 SW 117TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331832822",
"telephone_number": "305-630-9307",
"fax_number": "305-630-3414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6440 SW 117TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331832822",
"telephone_number": "305-630-9307",
"fax_number": "305-630-3414"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EP MEDICAL EQUIPMENT INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-13",
"last_updated": "2021-08-24",
"certification_date": "2021-08-24",
"status": "A",
"authorized_official_last_name": "PEREZ",
"authorized_official_first_name": "ELEUTERIO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-630-9307"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "FL",
"license": "PH15954",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "1083295",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "106462200",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "EP Medical Equipment Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "EP Medical Equipment Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.